Provider Demographics
NPI:1770107716
Name:MCMASTER, LAURA (LMFT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1799 BRIARCLIFF ROAD NORTHEAST
Mailing Address - Street 2:PO BOX 133183
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30333-3183
Mailing Address - Country:US
Mailing Address - Phone:470-727-6902
Mailing Address - Fax:
Practice Address - Street 1:19 LULLWATER PL NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-1208
Practice Address - Country:US
Practice Address - Phone:478-278-6254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-05
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001350101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty